Registered Nurse; RN - FlexStaff

Position: Registered Nurse (RN) - FlexStaff
RESPONSIBILITIES

* Assesses the patient's physiologic health status

* Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;

* Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status;

* Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate;

* Assesses level of pain and pain management;

* Communicates/documents patient's physiologic health status and plan of care.

* Assesses patient's psychosocial health status

* Elicits perception of medical/nursing care and the expectation of care;

* Determines coping mechanism, knowledge level, and ability to comprehend;

* Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;

* Communicates and documents psychological status and care plan; support group, counseling services, social services.

* Identifies patient outcome

* Develops criteria for measurement of patient outcomes;

* Identifies actual/potential patient problems;

* Identifies patient's need for teaching based on psychosocial and developmental assessment;

* Develops patient outcome statement (s) and establishes individualized patient goals.

* Formulates the plan of care and establishes the priorities necessary to achieve expected outcome

* Identifies care activities and establishes the priorities necessary to achieve expected outcome;

* Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;

* Documents the plan of care and collaborates with physicians and other health team members.

* Implements the plan of care

* Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.);

* Exercises professional skills related to the plan of care;

* Reassesses patients as needed and appropriately revises plan of care;

* Correctly administers prescribed treatments;

* Correctly uses equipment necessary for patient care;

* Provides emotional support to patient and significant other;

* Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;

* Makes accurate observations of patient's conditions during treatments/procedures. Reports and records same as appropriate;

* Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions;

* Uses appropriate methods of documentation according to departmental policy;

* Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;

* Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient's family or caretakers;

* Participates in planning for discharge and coordinates referrals, as appropriate;

* Provides discharge instructions to patient and significant other.

* Evaluates care provided for patient outcome

* Demonstrates ability to measure effectiveness of care provided and documents same;

* Performs variance analysis related to outcome data for performance improvement;

* Designs, implements, and evaluates systems to improve care in Unit;

* Keeps accurate documentation of patient's treatment, activity and condition;

* Uses appropriate methods of documentation according to departmental policy.

* Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team

* Collaborates with the appropriate physician on patient's plan of care;

* Accurately interprets and implements treatment regimen as prescribed by the Physician;

* Assists the Physician during treatments and/or diagnostic procedures;

* Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate;

* Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion.

* Performs grade I-IV Decubitus Care

* Performs preventive skin care measures

* Applies simple dressings, maintaining principles of aseptic technique;

* Applies warm & cold compresses, consistent with facility procedure;

* Performs irrigations, consistent with Facility procedure;

* Performs other procedures related to skin care, as necessary.

* Administers medications correctly and safely

* Correctly identifies medication: action; dosage; side effects and implications for the patient;

* Meets standard on medication administration examination;

* Demonstrates preparation of local solutions;

* Demonstrates preparation of I.V. drips;

* Administers and documents medication correctly;

* Administers IVP medication as per department policy and procedure;

* Educates patients and significant others related to drug and food interactions.

* Participates in…